【摘要】 目的探讨儿童急性阑尾炎住院费用的分布特点和影响因素。方法统计分析医保患者与自费患者费用构成,采用多元逐步回归模型分析急性阑尾炎住院费用的影响因素,用非参数秩的方法检验各因素的差异。结果住院费用医保患者高于自费患者,住院天数越长费用越高,而且儿童急性阑尾炎的药费比例高;付费方式、药品、住院天数、年龄、手术方案以及切口愈合对住院费用有显著影响。结论合理用药、加强对住院天数较长患者诊疗情况的监测,以有效缩短平均住院日可以节约医疗成本,降低医疗费用,合理分配医疗资源。更多还原

【Abstract】 Objective A discussion on the distribution characteristics and influence factors about hospitalization expenses of children acute appendicitis.Methods A statistic analysis on expenses formation of medical insurance patients and self-financed patients;an analysis on influence factors about hospitalization expenses of acute appendicitis by using multiple stepwise regression,testing the differences of the factors by using non-parametric order.Results The hospitalization expenses of medical insurance patients are higher than self-financed patients;The more days of hospitalization the higher of expenses,while the proportion of drug expenses about children acute appendicitis is high;the way of payment,drug,hospitalization day,age,operation plan and wound healing affect the hospitalization expenses obviously.Conclusion The article suggests that reasonable medication,monitor about long hospitalization days patients strengthening in order to reduce effectively the average hospitalization day,which can achieve medical cost saving,medical expenses reduction and reasonable medical resources distribution.更多还原